Uworld | Step 2ck

2022-10-04 07:59:01 38-year-old hospitalized woman is evaluated for new-onset confusion. The patient has a prolonged history of Crohn disease and was admitted 2 days ago due to worsening abdominal pain, nausea, and watery diarrhea. She tested positive for Clostridioides (formerly C/ostridium) difficile infection and is receiving oral vancomycin and intravenous fluids. Her gastrointestinal symptoms have been improving, but since yesterday the patient has been incoherent, disoriented, and unsteady. She has no other medical conditions but has had small bowel resections due to stricture and fistula in the past and has lost 10 kg (22 lbs) over the past 6 months. The patient does not use tobacco, alcohol, or illicit drugs. Temperature is 36.6 C (98 F), blood pressure is 120/70 mm Hg, and pulse is 92/min with no orthostatic changes. BMI is 19.5 kg/m2. On examination, she is not oriented to time or place. Pupils are equal and reactive to light Abduction of the right eye is limited and elicits bilateral horizontal nystagmus . Motor strength and deep tendon reflexes are normal throughout Finger-to-nose and heel-to-shin testing are normal, but the gait is wide based. Open / Comment

2022-09-28 23:54:08 [Forwarded from James Anderson]
Updates for all steps, Step1, Step2 and Step3

Uworld free online Step1
https://www.medicospira.com/uworld1/signup.php

Uworld free online Step2
https://www.medicospira.com/uworld2/signup.php

Uworld free online Step3
https://www.medicospira.com/uworld3/signup.php

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Open / Comment

2022-09-26 20:00:06
Don't miss out – only 5 days left for your 50% discount


Usmle step 1 ,2 and 3 recalls

Take an action .

All the discount offers will end on September 30th

A moment of hesitation may cause u lifetime of regrets

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Check other feedbacks

https://t.me/USMLERECALLS2021/683 Open / Comment

2022-09-24 15:56:44 https://t.me/studentdoctor Open / Comment

2022-09-20 16:50:18 [Forwarded from James Anderson]
Updates for all steps, Step1, Step2 and Step3

Uworld free online Step1
https://www.medicospira.com/uworld1/signup.php

Uworld free online Step2
https://www.medicospira.com/uworld2/signup.php

Uworld free online Step3
https://www.medicospira.com/uworld3/signup.php

Join Telegram Group for instructions link Bellow:



https://t.me/studentdoctor

Open / Comment

2022-09-18 17:13:55 https://t.me/studentdoctor Open / Comment

2022-09-05 23:00:33 80% of the exam is repeated

Recalls will be the game changer in your USMLE exam

The best thing u can give someone is a chance

In the end we regret the chances we didn't take

Happy learning to u all

For details and membership

contact:
@usmle_recall

Join now

https://t.me/USMLERECALLS2021/667 Open / Comment

2022-08-31 21:16:03 Educational objective: Aminoglycosides can be ototoxic to both the cochlea (resulting in sensorineural hearing loss) and the vestibular system (resulting in imbalance). Open / Comment

2022-08-31 08:16:02 Open / Comment

2022-08-31 08:15:19 A 60-year-old man comes to the office for evaluation of gait imbalance, which he has had for the past 3 days. The patient was hospitalized 2 weeks ago for a complicated enterococcal diabetic infection of the left foot. He was prescribed ampicillin and gentamicin, which he has continued via home intravenous antibiotic therapy. The patient subsequently developed a constant sensation of objects moving around in his visual field when looking in any direction, which has caused him to feel unsteady. He has no associated nausea or vomiting. The patient has a history of poorly controlled type 2 diabetes mellitus and hypertension. His other medications include lisinopril and basal-bolus insulin therapy. Temperature is 36.7 C (98 F), blood pressure is 140/96 mm Hg, pulse is 80/min, and respirations are 16/min. BMI is 34 kg/m2 The left foot wound is healing without discharge or surrounding erythema. Neurologic examination shows 5/5 muscle strength and 2+ reflexes in all extremities. Hearing is decreased in the right ear on whisper test. Rapid head movement away from a fixed target causes eye movement away from the target followed by a horizontal saccade back toward it. Open / Comment